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General NPI Number Information
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NPI Number | 1861836330
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Entity Type | Organization
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Legal Business Name | PENINSULA REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 30265 COMMERCE DR DELMARVA HEALTH PAVILION
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City | MILLSBORO
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State | DE
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Zip | 19966-3593
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Country | US
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Telephone | 410-543-7437
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Fax | 410-543-7020
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Provider Business Mailing Address
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Address Line | 100 E CARROLL ST PATIENT ACCOUNTS
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-546-4600
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Fax | 410-543-7020
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Authorized Official
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Title or Position | EXEC.DIR. PATIENT FINANCIAL SVCS.
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Name | MR. JEFF R. KARNS
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Credential | CPAM
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Telephone | 410-543-7437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 22-003
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License Number State | MD
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